Kestenbaum, Thelda M

Kestenbaum, Thelda M is an individual health care provider with primary practice located at 3901 Rainbow Blvd Dept Of Internal Medicine, Kansas City KS 66160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Kestenbaum, Thelda M can be contacted via phone (913) 588-6000.

Contact Information

Primary practice address
3901 Rainbow Blvd Dept Of Internal Medicine Kansas City KS 66160
Phone: (913) 588-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 04-17264 Kansas

Profile Details

NPI number 1245333137
LBN Legal business name Kestenbaum, Thelda M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated May 28th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245333137 NPPES
Kansas MEDICAID 100195180A
Kansas Other 06856030
Kansas MEDICAID 200982205
Kansas Other 626230

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